PRIN 2022 PNRR P2022NR9PW CUP MASTER J53D23016470001

Fragility in the Ward: Between Disability, Eating Disorders, and Reassuring Inclusion

by Greta Delpanno

Overview

Channel

Rai Uno

Streaming availability
Years

2020 – ongoing

Seasons/Episodes

3 seasons; 48 episodes

Director

Jan Maria Michelini, Ciro Visco (season 1), Beniamino Catena, Giacomo Martelli (season 2), Jan Maria Michelini, Nicola Abbatangelo, Matteo Oleotto (season 3)

Creator

Francesco Arlanch, Viola Rispoli

Screenplay

Francesco Arlanch, Viola Rispoli

Production companies

Rai Fiction, Lux Vide

Cinematography

Napoleone Carbotta (seasons 1–2), Alessandro Pesci, Valerio Evangelista (season 3)

Editing

Alessio Doglione, Alessandro Heffler (season 1), Michele Soffientini, Davide Miele (season 2), Michele Soffientini, Simone Mele (season 3)

Music score

Tony Brundo, Nico Bruno

Cast

Luca Argentero, Matilde Gioli, Sara Lazzaro, Gianmarco Saurino, Raffaele Esposito, Simona Tabasco, Alberto Boubakar Malanchino, Pierpaolo Spollon, Silvia Mazzieri, Beatrice Grannò, Giovanni Scifoni, Elisa Di Eusanio, Alice Arcuri, Marco Rossetti, Giacomo Giorgio, Laura Cravedi, Elisa Wong

Distribution

Rai Uno, Rai Play

Gallery

Poster

Poster (second season)

Trailer

First season

Second season

Third season

Pressbook

First season

Second season

Third season

Representation strategies, rhetorics and stereotypes

Narrative & characters

Inspired by the real-life story of Dr. Pierdante Piccioni, the series tells the story of Andrea Fanti (Luca Argentero), head physician of internal medicine who, following a head injury, loses the memory of the last twelve years of his life. The loss of memory destabilizes both his professional and personal identity: Fanti no longer remembers the death of his son, the end of his marriage, or his relationships with colleagues. His trajectory stages a doctor who is not omnipotent but fragile, forced to redefine his role in an environment he only partially knows.

The narrative core of the series lies not only in Andrea’s story but in the collective dimension of the ward. Giulia Giordano (Matilde Gioli), colleague and former partner, is torn between her bond with the past and the need to lead in the present. Lorenzo Lazzarini (Gianmarco Saurino) introduces the theme of psychological fragilities and addiction, while Gabriel Kidane (Alberto Malanchino), a doctor of African origins, makes it possible to address the question of multiculturalism within healthcare institutions. Alongside them, other characters enrich the reflection on identity. Riccardo, for example, brings disability to the foreground: a young doctor with a leg prosthesis, he hides his condition for a long time out of fear of judgment, until the scene in which he takes part in a swimming competition among colleagues and reveals his metal leg. This moment makes visible the weight of stigma and the difficulty of asserting oneself in a context that, though inclusive in appearance, still tends to marginalize physical differences. Carolina, Andrea’s daughter, introduces instead the theme of eating disorders: affected by bulimia, marked by a problematic relationship with her father and by the use of anxiolytics, she shows how even family narratives are traversed by often invisible fragilities.

From a structural perspective, the series adopts the model of the medical drama with episodic cases, which are interwoven with the personal stories of the doctors. The patients become mirrors of the protagonists’ difficulties, with a resonance effect that amplifies identity issues. Illness, whether physical or psychological, is not treated solely as a clinical emergency but as a narrative opportunity to address broader social issues: inequalities in access to care, discrimination, stigma linked to the body and to mental health.

The representational strategies of the series aim to balance difference and normalization. On the one hand, figures emerge who embody vulnerability—Andrea without memory, Riccardo with a disability, Carolina with eating disorders, Gabriel as a Black doctor in a predominantly white context; on the other hand, these conditions are integrated into a reassuring narrative language that tends to transform conflicts into opportunities for personal growth and collective solidarity. The hospital thus becomes the symbolic space in which individual fragilities find recognition, but at the cost of being brought back to a discourse of overcoming that sometimes simplifies the complexity of the experiences represented.In this sense, DOC – Nelle tue mani updates the codes of the medical drama by adapting them to Rai’s generalist audience: not a story of infallible heroes, but a mosaic of characters who bring fragilities and diversity to the foreground, albeit within a narrative framework that privileges empathy and reconciliation over conflict.

Stereotypes & strategies of inclusion

The final scene of the first season takes place during the swimming competition among the doctors in the ward, from which Riccardo had always tried to withdraw. For weeks he had hidden his disability, avoiding revealing his leg prosthesis and fearing the judgment of his colleagues. At the decisive moment, Riccardo enters the pool and shows himself openly, revealing his metal leg: a gesture that breaks the silence and frees him from the weight of secrecy. Next to him, in the lane, Gabriel competes, his body bearing visible scars on his back, signs of a troubled past never fully disclosed. Gabriel, turning to Riccardo, says: “Everyone has their secrets.”

The sequence thus takes on a double symbolic value: on the one hand, it normalizes disability, showing how Riccardo can be accepted within the group without the prosthesis entirely defining his identity; on the other, it reveals how every character carries a hidden fragility, suggesting that diversity is a widespread condition rather than an exception. From the perspective of representation, the scene balances the risk of spectacularizing disability (the public revelation, the implicit applause) with an inclusive discourse that invites recognition of limits and wounds as an integral part of the collective experience.


“Control and loss of control” – Carolina and eating disorders (S1)

Carolina’s bulimia is developed as an autonomous narrative thread, showing how eating disorders cut across both the personal and the family dimension. One of the most significant scenes is the confrontation with Andrea, when it emerges that his daughter is taking anxiolytics that he himself had provided her, without fully understanding the seriousness of the situation. This detail underscores the ambiguous link between care and parental neglect, making the disorder not only an individual condition but also the reflection of problematic relationships. Other moments show Carolina struggling with binge eating or vomiting episodes, signals of the constant tension between the desire for control and the loss of control. The representation, though framed in a melodramatic register, brings to the surface a theme rarely present in Italian prime-time fiction, giving visibility to an experience often rendered invisible.


“Starting over from zero” – Andrea and memory loss (S1E1–2)

Vulnerability does not concern only the secondary characters: Andrea himself embodies a trajectory of fragility that questions the model of the omnipotent doctor. In the first episodes, just out of the coma, he faces the loss of twelve years of memory and the impossibility of immediately resuming his role as head physician. A key scene is his return to the ward, when he realizes he remembers neither the clinical protocols nor the working relationships, and must accept starting over as a simple general practitioner under the supervision of colleagues who were once his subordinates.

This reversal highlights how even male and professional authority can be called into question, forcing the protagonist to redefine himself not through power or hierarchy, but through listening and empathy. In this sense, Andrea’s fragility becomes a narrative device to normalize the idea that medical competence does not coincide with infallibility, but with the ability to recognize one’s own limits.

Conversations

Director Jan Maria Michelini talks about the new episodes of the series following the success of the first season, during the virtual press conference (Musica e Tv 2.0, October 14, 2020).

Multiple interview with the three protagonists of “DOC – Nelle tue mani”: Alice Arcuri (Tedeschi), Sara Lazzaro (Agnese), and Beatrice Grannò (RaiPlay, March 13, 2022).

Watch the video

“Pierdante Piccioni: ‘I am the real “Doc”. Or rather, we all are’”. In Rai News.it, January 27, 2022. Mariavittoria Savini interviews Pierdante Piccioni, the doctor whose story inspired the series.

«I was, one could say, the screenwriter for the medical part. If the first season had been much more autobiographical in relation to my story, now the characters are beginning to walk on their own, we discuss how to narrate the medical cases. They are all real, pathologies that actually occurred. Of course a bit fictionalized, but the illnesses are real».

Read the interview

Actor Luca Argentero is interviewed on the occasion of the third season, where he talks about the many new developments and the central theme tied to contemporary society: the management of power (Rai Press Office, January 4, 2024).

Watch the video

Business strategies and communication rhetorics

Strategies

DOC – Nelle tue mani was produced by Lux Vide in collaboration with Rai Fiction, directed by Jan Maria Michelini and Ciro Visco. Inspired by the real-life story of Dr. Pierdante Piccioni, the series represents one of Rai’s most significant industrial operations in the field of medical drama, a genre less common in Italy compared to its centrality in the Anglo-Saxon context. The production investment reflects the intention to update public service broadcasting, diversifying the fiction catalogue beyond traditional genres (police drama, family melodrama) and offering a narrative capable of competing with international models.

The choice of Lux Vide is not accidental: the production company, already behind successes such as Don Matteo (Rai Uno, 2000– ) and Che Dio ci aiuti (Rai Uno, 2011– ), has over the years consolidated a serial fiction model that combines strong national recognizability with formats exportable abroad. DOC fits perfectly into this trajectory, with a more contemporary aesthetic, a particular focus on episodic cases, and an ensemble of characters able to represent social plurality. In this sense, the series assumes a strategic value: not only a high-rating product but also a flagship title to be promoted on the international market, as demonstrated by its distribution in several countries and negotiations for local adaptations.

On the level of representational choices, the production framework has strongly influenced the narrative construction. The hospital becomes the symbolic place in which to insert themes of diversity, fragility, and inclusion, without however departing from the reassuring registers of melodrama. Riccardo’s disability, Carolina’s bulimia, Gabriel’s African origins, or Andrea’s memory loss are narrative devices that broaden the range of topics addressed, but always within a framework that tends to reduce conflicts to moments of growth and solidarity. It is therefore a production strategy that makes diversity a functional element of serial dramaturgy, useful in strengthening the engagement of a generalist audience and ensuring consistency with the public service mission.

The success of the series, confirmed by average ratings above 7 million viewers in the first season and by the sale of the format abroad, shows how the strategy of Lux Vide and Rai Fiction achieved an effective balance between innovation and continuity: a new kind of story for Italian fiction, but constructed with reassuring narrative codes, able to hold together national recognizability and international potential.

Communication rhetorics

The communication surrounding DOC – Nelle tue mani focused above all on two directions: the exceptional nature of the true story from which it draws inspiration and the emotional dimension of the narrative. In interviews and promotional materials, Luca Argentero and the producers repeatedly emphasized how the character of Andrea Fanti is a “human” doctor, forced to come to terms with his own limits, and how the series aims to offer the audience an image of Italian healthcare that is closer to people, less distant, and more empathetic compared to other models.

From the perspective of inclusion, promotional rhetoric has rarely explicitly thematized the diversity represented by secondary characters. Statements and launch campaigns preferred to insist on the universal value of fragility and resilience, presenting DOC as a series “for everyone,” capable of telling stories in which each viewer could recognize themselves. Differences—Riccardo’s disability, Carolina’s eating disorders, Gabriel’s African origins—were communicated more as elements of empathy than as critical devices, framed within a narrative context that privileges emotional involvement and affective resonance.

On the occasion of the pandemic, communicative rhetoric further emphasized the series’ closeness to collective experience. DOC was often presented as a tribute to healthcare workers, a story that restores dignity and humanity to doctors and hospitals. This communicative line reinforced Rai’s image as a public service close to citizens, but it also contributed to placing the series in a celebratory dimension that risks softening the social or structural criticalities that nevertheless emerge in the stories told.In sum, the promotional rhetoric of DOC confirms the inclusive strategy already evident in production: the emphasis is not placed on diversity as conflict but on fragility as a universal condition. This allowed the series to reach a very wide audience but also limited the possibility of bringing out a more explicitly critical discourse on forms of exclusion and inequality.

Conversations

“The Policlinico Ambrosiano Chronicle: we were on the set of ‘DOC – Nelle tue mani 3’”. In Rolling Stone, December 15, 2023. On the set of the series, Benedetta Bragadini interviews Luca Argentero, Pierpaolo Spollon, and Giacomo Giorgio, ahead of the release of the third season.

«With regard to the characters, there is a “feeling of great familiarity, we wait to receive the stories to see where they will be taken. They had outlined a macro-arc for me, but the work structure is American-style: the scripts arrive in blocks and at the beginning we do not know what the end-of-season case will be. So yes, we are as curious as the audience”». 

Read the interview

“Matilde Bernabei: ‘From Doc to Diavoli, I’ll tell you about my Lux of successes.’ The president of Italy’s most famous production company talks about herself, from her father Ettore to her husband Giovanni Minoli”. In Libero Quotidiano, May 18, 2020. Francesco Specchia interviews producer Bernabei.

«Yes, we were missing 4 episodes. But it works because it follows Lux’s narrative patterns: not only offering glimpses of hope but actual hypotheses of solutions to real problems that we combine with entertainment for the viewer. And this has led, for instance, Sony to ask for the rights for an American version, although for now we are thinking of exporting the original series…»

Read the interview

Circulation and audience responses

Circulation patterns

DOC – Nelle tue mani was broadcast in prime time on Rai Uno starting in spring 2020, with episodes also available on RaiPlay. From its very first season, the series established itself as one of Rai’s flagship fiction titles, able to reach an intergenerational audience and consolidate the centrality of prime time. Availability on RaiPlay ensured complementary access, especially for younger and more digitally oriented viewers, although promotion continued to prioritize linear broadcasting.On the international level, the series achieved considerable success: distributed in several countries through agreements with Sony Pictures Television, it generated various remakes. In 2023–2024, local adaptations were announced in multiple markets, including the U.S. remake developed by Fox (Doc – USA, scheduled for 2025), confirming the format’s capacity to be reworked in a transnational key. The international expansion and the multiplication of remakes demonstrate how the production choices—ensemble cast, balance between clinical cases and personal dramas, universalizing tone—were designed from the outset for a global market, able to recognize the hospital as a familiar and easily adaptable narrative setting.

Reception

The reception of DOC – Nelle tue mani was very positive, with audience ratings that confirmed its success. The first season (2020) registered an average of about 7.4 million viewers per episode and a share of around 31.9%, with peaks reaching nearly 40% on the final evening. The second season (2022) confirmed the solidity of the title, with average ratings of over 6 million viewers and shares between 27% and 30%, maintaining its primacy in the prime-time slot. The third season (2024) debuted with 5.1 million viewers and about 26.9% share, marking a decline compared to the previous seasons but still ranking among the most-watched Rai fiction productions.

Critics welcomed the series by emphasizing its ability to combine the codes of the international medical drama with a more melodramatic and family-oriented approach, centered on the vulnerability of the protagonist and the ensemble nature of the characters. Many commentators highlighted the empathetic value of the series, especially in the context of the pandemic, in which the representation of medical personnel was perceived as close to collective experience. However, some reviews noted the risk of excessive simplification of conflicts, which tend to be resolved in emotional and reassuring terms.With regard to inclusion and diversity, critical reception rarely placed them at the forefront. Riccardo’s disability, Carolina’s bulimia, and Gabriel’s African origins were recognized as defining traits, but more as narrative tools of empathy than as objects of autonomous reflection. In this sense, DOC brought to the screen themes rarely seen in Italian prime-time fiction, but situated them within a register that privileges universal identification and emotional resonance, rather than critical or social analysis.

Conversations

To mark the release of the second season, Doc takes us behind the scenes on the set of the series. Interview by Cinzia Carcio with the main cast: Luca Argentero and, among others, Alice Arcuri, Sara Lazzaro, Simona Tabasco, Beatrice Grannò, Marco Rossetti, Elisa Di Eusanio, Silvia Mazzieri, Giovanni Scifoni, Gaetano Bruno, and Giusy Buscemi (Lifestyle Made in Italy, January 12, 2022).


During the talk show Programma, hosted by Claudia Rossi and Andrea Conti, actor Pierpaolo Spollon is interviewed, addressing topics such as the success of the series and its popularity on Twitter (Il Fatto Quotidiano, March 10, 2022).

Italian and foreign press

Italian Press 

Rocco Moccagatta, “Doc – Nelle tue mani,” Film TV, May 5, 2020.

«The striking success of Doc – Nelle tue mani (with peaks of 9 million viewers, immediately entering the pantheon of Rai1 alongside all-conquering titles like Il commissario Montalbano and Don Matteo, with the second part of the season in autumn) comes at just the right time, as it coincides with the full maturation of Rai Fiction’s editorial (and cultural) policy (for ten years under the leadership of Eleonora Andreatta) and the accomplished development of Lux Vide’s production history, one of the most active companies today in the field of fiction (on multiple fronts: Diavoli on Sky is also their work)».

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Rita G., “Doc – Nelle tue mani 3: A foretold success with some problems. Review of the third season”, Telefilm Central, March 2024.

«Thus, by looking at the lives of individual people, Doc opens a window onto important issues such as sports for young people with physical disabilities or the protection of women from abuse by their partners». 

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